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HAZMAT INSP 4/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inenot--finn a� BAKERSFIELD FIRE DEPT. Prevention Services B....... ..._.....R....a...._...._f... ...... _D 2101 H Street, jr Bakersfield, CA 93301 AlRTM T Tel.: (661) 326 -3979 Fax: (661) 852 -2171 !z_ S FACILITY NAME -w: INSPECTION DATE INSPECTION TIME :.y 71 ADDRESS PHONE NO NO OF EMPLOYEES r APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) FACILITY CONTACT BUSINESS ID NUMBER ! J Consent to Inspect Name/Title x ,. ,. :. � , 5�,;aR u^ '+� n" � & %�a •R "�� as'. .: , � ' ...k e a s. ^. ..."a.a. ,,. 4. v d.. �1 i�a4�S ..w �.. K<X°. .�sS , ,. £ s v �.i 1,g ... ..,... „ Y r..r:�., _.�.xaca.. , �. .�:, u, ai. ?,. xa. v.. N.. .: ., ... •r >.^f...:. s "4 .x ,A x31. 3• >5., .i ?� .'d. .z'. '�` '�', e .. x . �. z. �. �a ,�. •a.w�. ��. »\_, x.L, .. :L. `� ,.' `�.. �.v i'a „,.. � .�.. 1c', Y� �'a5` k�. ,o• k s 8 � a+"��. � �°' v . m, ..^"? 1.. s.5 f s� IIS. Y� f fs zx a $.. .„ 3 �' 3:.. §e�� �r.. �. !; saf„p^e.ai%'...... .. .� , .,� ... . QP, ,.. , ' ' ✓xi .' : .. h ,.s. h..x !aw" a e �a^x" RIM •: .- , s3:' .. .. .. �'a,'%"1. ^. ....,.. A.. ... 4.. i Y■y Y`, ; x t'� t\ �a�,'k"" j •■ ��..., � � abY✓ .ok'4 .Jx �'. 1�:5''+wk3 @ caaL. %1:¢:. k:. ss @.. ; Z' 3. ,{ q Y � -�.P �5 � £: °,x. ,rsr' , .. :�..fi a '3�:.. , ., C. . ...,�" . ^. c ....� ..- ., .. v... , ��� �.. �'. ' � vs ''k, 3^.. '. ,s'.w .. .. i 6 fr yg. ..: `:Mx`.7' vYCw r , ¢�Yk » �.�f x.. ..,. y�', �^.y,....Y ..;L .. rc a... .a. e �°�, a „, ?<...�ya u.,.ti F � f"s". S. t R's' :k5, Ln w'�C. ✓ia Y i�w..��. �Rsn a. �.x.rc� !'ss..: s.�q.Y ?�F,3..� W`..afS•;£.t'.§ ??XHa,✓Sra. a. n�"a�$ , 9.., w '^•{x�ie+°519:"�.^vk'�x c u .:: vrc�7." a�' �, a: �i.., ��` N£? ba. v�a��c�?f'..w.M�.k:�'Tl�'r.>,9, .ti xa�,. 4�"+.v'I. �FR'S`e aevo.il`�,r's �w�. ,w rS�Ar..i',''w,b"HY,x: .'`�..:... w"�':¢R�- a.Lrr�'kv. ...ieRu.FS,w r'S�� . ?.zh's. <i. 6.,R..x1.'S*, ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C y C=Gompliance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT X. APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) .•f -' VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 r ` VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5) 3030007 ,- HOUSEKEEPING (CFC: 304.1) +... FIRE PROTECTION (CFC: 903 & 906) 3030032 �..• w' SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES °E] NO Oignatu reofRec_ei t_ Explain: Inspector ; I POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)